Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $707.95	Professional		$389.05	$467.74	$707.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $891.25	Professional		$416.87	$562.34	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,454.71	Facility		$54.95	$56.23	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $13,182.57	Professional		$3,801.89	$3,801.89	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $5,128.61	Facility		$426.58	$794.33	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $660.69	Professional		$398.11	$512.86	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $954.99	Facility		$398.11	$562.34	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $851.14	Professional		$407.38	$562.34	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $724.44	Professional		$346.74	$457.09	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $398.11	Professional		$354.81	$354.81	$398.11